Sudan: World’s Worst Humanitarian Crisis
BENGALURU, India, March 4 (IPS) - The ordinary sounds of Nahid Ali’s home in Khartoum were completely drowned out by the sound of war which began on April 15 2023. Her baby was just 21 days old. The morning started as any typical day for a mother who had just given birth to her baby and needed to nurse her newborn while she took care of her other children. The gunfire began to erupt. The fighting began when two groups started to battle each other in the streets. The fighting which began in her area developed into a destructive countrywide war in Sudan which spread to her street within moments.
Nahid states “I remember the sound of the war replacing the sound of my home.” Her children were shaking. It was the first time she had found herself at the center of live clashes. There was no time to gather documents, clothes, or memories. She grabbed her children and ran. Everything else was left behind. In that instant, Nahid stopped being only a humanitarian worker responding to crisis, she became one of its victims. Nahid Ali works as a Communications Manager at Plan International, where she helps women and children across Sudan through her work. Overnight, she joined the millions she had long served. She was now an internally displaced person who required home protection and humanitarian assistance. “It was confusing,” she says. “I needed to support my own family while also thinking about other families in need.”
As a mother, she could not protect her children from the sound of airstrikes or the fear of hunger. As a humanitarian, she felt the crisis in her bones. “I became one of the people I used to help,” she says. Now, when mothers describe fleeing under fire or struggling to feed their children, she does not simply empathize. She understands. The war which forced Nahid to leave her house has developed into one of worlds worst humanitarian crisis. The World Health Organization estimates that more than 30.4 million people which represents two-thirds of the global population now require humanitarian assistance, including 7 million internally displaced people. Cities have been shattered, communities have emptied, front lines shift, but civilians remain trapped in the wreakage created by this war.
Sudan’s health infrastructure has come crumbling down under the pressure of the conflict. Over 70 percent of the health facilities are not functioning. Hospitals have been bombed, looted, or occupied. Healthcare staff have either fled, not been paid, or have been killed. Disease is rampant in the crowded camps, and lack of medication is the new normal. What was once curable is now fatal.
The situation is being made worse by the effects of the climate change and the economic collapse. The purchasing power has been eroded by the high rates of inflation. The prices of food have skyrocketed. Water is now a luxury. People are not eating for days. The situation is affecting the women, children, elderly, and the displaced the most.
The situation has now spread beyond the borders of Sudan. The conflict has displaced over 2.9 million people into Chad, the Central African Republic, Egypt, Ethiopia, Libya, and South Sudan. These nations are already dealing with health challenges of their own.
The conflict started in April 2023, as tension between the Sudanese army and the paramilitary Rapid Support Forces transformed into an armed conflict in Khartoum. The conflict has since spread across the Darfur region. What started as a political power struggle has now resulted in the displacement of populations, starvation, and genocide.
In a report released by the United Nations, an Independent International Fact-Finding Mission for the Sudan established that the “evidence establishes the existence of at least three underlying acts of genocide in Darfur. These are the killing of members of the protected ethnic group, the causing of serious bodily and mental harm, and the deliberately inflicting conditions of life calculated to bring about the physical destruction of the group in whole or in part.”
The report is based on the situation in El Fasher, the capital of the state of North Darfur, a town besieged for 18 months before the main attack. The report established the “scale, coordination, and public endorsement of the operation by senior RSF leadership demonstrate that the crimes committed in and around El Fasher were not random excesses of war,” said Mohamed Chande Othman, chair of the mission. “They formed part of a planned and organized operation that bears the defining characteristics of genocide.”
Children are at the eye of this storm.
According to UNICEF, there are an estimated 1.3 million children in areas where famine is already taking place. Over 770,000 children are expected to face severe acute malnutrition this year. Many of them will not survive. In the final six months of 2024 alone, there were over 900 grave violations against children reported, eighty percent of them were killings, mainly in Darfur, Khartoum, and Gezira Province. These are just a few of the reported cases, which humanitarian agencies say is just a small fraction of the true extent of the crisis.
The Integrated Food Security Phase classification (IPC) said the thresholds for acute malnutrition were surpassed in two new areas of North Darfur, Um Baru and Kernoi, following the fall of the regional capital, El Fasher, in October 2025 and a massive exodus. December assessments found acute malnutrition levels among children of 52.9 per cent in Um Baru, nearly twice the famine threshold and about 34 per cent in Kernoi.
It is a challenging job to deliver aid to the war-torn areas. The roads are either unsafe or impassable, bureaucratic delays are common too and the armed groups attack aid convoys as well. “Sometimes the assistance cannot even arrive,” Nahid says.
In these places of displacement, Nahid witnesses the toll taken on the human body by the numbers.
“Sexual violence is a tool of war. Many of the women we meet were attacked as they fled their homes. Some were forced to watch as their friends were attacked in front of family members. Some are pregnant, waiting for services that might never materialize.” The trauma these women face is compounded by shame and a total lack of services.
In some communities, the shame of rape leads to the forced marriage of the raped women to the rapist. This provides a context for the child born of rape, it’s a way to give the family a sense of honour. But the damage done by this violence cannot be overstated. The girls who were raped have yet to open up about the violence they experienced, psychosocial services for these women are scarce, safe havens are hard to find and their needs are overwhelming. Children come to the camps alone, separated, orphaned, lost. Some saw their families die. Some crossed through combat zones to escape.
Nahid recalls a six-year-old girl who is always scared, she describes how in Sudan, women wear a traditional attire called the tobe. Whenever the girl sees a woman wearing a tobe, she runs towards her crying, “My mother, my mother.” She hopes against all hopes that this woman is her real mom, Nahid says.
“We need the world not to forget Sudan.” She says this is what she hopes for: more solidarity from the world community, more funding, more pressure on governments.
What keeps her going is the strength she sees all around her. She sees women organizing community kitchens from scratch. She sees families sharing the little food they have. She sees women organizing their own support groups. Sudanese women inspire her most. Many have lost homes, livelihoods, and loved ones, and yet, they still care for children, advocate for services, and hold communities together.
“They have lost so much,” Nahid says. “But they are still standing.”
Sania Farooqui is an independent journalist, host of The Peace Brief, a platform dedicated to amplifying women’s voices in peacebuilding and human rights. Sania has previously worked with CNN, Al Jazeera and TIME.
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